| NPI | 1205819315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATH BROUWER Administrator 605-724-2159 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: SD 10526) |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2011-12-06 |